Individual
PHILIP D BERGEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5131
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5131
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD042405L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001779596
—
PA
Enumeration date
11/15/2006
Last updated
03/25/2013
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